Capital Region Medical Center

NPI #1285606392 in Eldon, Missouri

Provider Information

NPI Number: 1285606392
Entity Type: Organization
Organization Name: Capital Region Medical Center
Primary Specialty: Family Medicine
Enumeration Date: Feb 2, 2006
Last Updated: Aug 23, 2013

Practice Location

Address: 103 BUSINESS HWY 54 NORTH
City: Eldon
State: Missouri
ZIP Code: 65026
Phone: (573) 392-2124

Authorized Official

Name: TOM LUEBBERING
Title: VP OF FINANCE
Phone: (573) 632-5100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Family Medicine	207Q00000X	Primary

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